‘Keep moving, but carefully’: back pain beliefs among NHS staff

IF 1.5 Q3 REHABILITATION European Journal of Physiotherapy Pub Date : 2022-03-10 DOI:10.1080/21679169.2022.2047781
Jack Davis, C. Newton, Gurpreet Singh, David Nolan, K. O’Sullivan
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Abstract

Abstract Background Back pain (BP) is a major cause of absenteeism in National Health Service (NHS) staff in the UK. However, the back beliefs of NHS staff with BP are unknown. Objectives To explore the BP beliefs of UK NHS staff presenting with BP, and how these beliefs are constructed. Method Purposive sampling of NHS staff with BP who had self-referred to University Hospitals of Leicester NHS Trusts occupational health physiotherapy service. 30 participants completed the Back-Pain Attitudes Questionnaire. Ten participants with a range of BP beliefs also completed semi-structured interviews. Mean responses, and frequency of different responses were reported, for the questionnaire data. Interviews were analysed using thematic analysis. Results Total Back-PAQ scores (mean −9.6, SD 9.16) indicated unhelpful BP beliefs overall, though some BP beliefs such as the potential benefit of exercise were more positive. Key themes identified from the interviews were; (i) the uniquely vulnerable nature of BP, (ii) the need to protect the back through avoidance behaviours, and (iii) the importance of being active for BP. Conclusion NHS staff presenting with BP generally held negative BP beliefs, based on both questionnaire responses and the qualitative interviews. Awareness of the potential benefits of activity contrasted with the notion that ongoing protection of the back was required, and was evident in questionnaire data and interviews. Back pain beliefs were influenced by health care professional advice (both formal and informal settings), moving and handling training, family opinion and childhood experiences, offering insights into the settings where BP beliefs could be targeted.
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“继续前进,但要小心”:NHS工作人员的背痛信念
摘要背景背痛(BP)是英国国家医疗服务体系(NHS)工作人员缺勤的主要原因。然而,患有BP的NHS工作人员的背痛信念尚不清楚。目的探讨英国国家医疗服务体系(NHS)工作人员的BP信念,以及这些信念是如何构建的。方法对英国国家医疗服务体系(NHS)的BP工作人员进行有针对性的抽样,这些工作人员曾自行转诊到莱斯特大学医院NHS信托的职业健康理疗服务。30名参与者完成了背痛态度问卷。10名具有一系列BP信念的参与者也完成了半结构化访谈。报告了问卷数据的平均回答和不同回答的频率。访谈采用专题分析法进行分析。结果背部PAQ总分(平均值-9.6,SD 9.16)表明总体上对BP信念没有帮助,尽管一些BP信念(如运动的潜在益处)更积极。访谈中确定的主要主题有:;(i) BP独特的脆弱性,(ii)通过回避行为保护背部的必要性,以及(iii)积极参与对BP的重要性。结论根据问卷调查和定性访谈,英国国家医疗服务体系(NHS)工作人员对BP普遍持有负面的BP信念。对活动潜在益处的认识与需要持续保护背部的观念形成了鲜明对比,这在问卷数据和访谈中表现得很明显。背痛信念受到医疗保健专业建议(正式和非正式环境)、行动和处理培训、家庭意见和童年经历的影响,从而深入了解BP信念可能成为目标的环境。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
29
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